NR 566 FINAL EXAM (2 LATEST VERSIONS 2023-2024) / NR566
FINAL EXAM 200+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|AGRADE
- When is it safe to use progestin for hormone replacement therapy?
Management of dysfunctional uterine bleeding, amenorrhea & endometriosis
- What are some potential drug interactions with lithium?
Diuretics, NSAIDs, Anticholinergics
- What is the black box warning for tricyclic antidepressants and all other
antidepressants?Risk for suicide
- What is the normal lithium range?
0.4 to 1 mEq/L.
- What is the role of androgens in treating anemia?
Synthesis of erythropoietin
- Which of these drugs are known to elevate phenytoin levels?
Diazepam, isoniazid, cimetidine, carbamazepine, phenobarbital, alcohol
- What is the preferred administration route of alprostadil?
Injection into the penis or by insertion into the urethra
- What are some potential adverse effects of finasteride?
Decreases ejaculate volume and libido and gynecomastia
- What are some potential adverse effects of nonselective a1 blockers?
Hypotension, fainting, dizziness, somnolence, and nasal congestion
- What are some potential adverse effects of phosphodiesterase-5 inhibitors?
Hypotension and priapism
- What are typically the best antibiotics for chlamydia in adults?
Azithromycin or doxycycline
- What are typically the best antibiotics for gonorrhea in adults?
Ceftriaxone intramuscular plus azithromycin oral
- What should we prescribe for BV and/or trichomoniasis?
Metronidazole PO or Clindamycin Cream
- What is our first-choice drug for syphilis?
Penicillin G 1 / 4
- What are some good treatment options for herpes simplex virus? 2 / 4
Acyclovir, famciclovir, and valacyclovir
- What patient education should we provide regarding SSRIs?
Don't abrupt discontinuation, can result in withdrawal syndrome
- Why choose local estrogen over systemic?
Treatment of vulval and vaginal atrophy associated with menopause
- MAO inhibitors are appropriate for a patient…
Able to strictly adhere to avoiding tyramine containing foods
- What is the names of some 5 alpha-reductase inhibitors?
Dutasteride(Avodart), Finasteride (proscar)
- What are the names of some alpha 1 blockers?
Silodosin, Tamsulosin
- What are the names of some phosphodiesterase 5 inhibitors?
Sildenafil (Viagra), Tadalafil (Cialis)
- What is the most common adverse effects of medications for BPH?
Sexual dysfunction and hypotension
- With prescription BPH meds, prostate shrinkage occurs slowly over how many
months?6-12 months
- Which medications are used to treat panic disorder?
Some SSRIs, SNRIs, tricyclic antidepressants (TCAs), and MAOIs
- What medication can be used on a routine basis for social anxiety disorder?
SSRI, paroxetine (Paxil) and sertraline (Zoloft)
- What medication can be used on an as-needed basis for performance anxiety?
Propranolol
- Potential adverse effects of 1st generation antipsychotics include all of the
following except?Weight gain, diabetes, and dyslipidemia
- Which medication decreases sleep latency and prolongs sleep duration?
Trazodone
- Which medications help patients fall asleep?
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Lunesta, Zaleplon
- Which medication is best for people who have difficulty falling asleep?
Zolpidem
- What are the names of benzodiazepine like drug?
Eszopiclone (Lunesta) and Zaleplon (Sonata)
- What is the name of melatonin receptor agonist?
Ramelteon
- What is the common way to initiate oral contraceptives?
Start on first day of the menstrual cycle or the first Sunday after
- What teaching should be provided regarding OC?
If >1 pill missed in the first week, take one pill ASAP, use back-up 7 days
- What is NOT a contraindication for OC?
Ovarian cancer
- What is the first choice medication for Parkinson's?
Carbidopa/Levodopa
- What medication is used to treat “off” times including “wearing off” experiences in
parkinsons?Dopamine agonists, COMT inhibitors, and MAO-B inhibitors
- Pramipexole adverse reactions may include all of the following EXCEPT?
Diarrhea, flatulence, headache, myalgias
- What medication interaction may occur with phenytoin and oral contraceptive use?
Decrease effectiveness OC
- What are some non-psychiatric drugs that can be used to treat Manic Depressive
Disorder (Bipolar)?Anti-epileptic
- What are some potential drug interactions with lithium?
Diuretics, NSAIDS, Anticholinergics
- When should lithium levels be drawn?
Every 2–3 days during initial therapy and every 3–6 months for maintenance
- What is potential risk of taking kava?
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